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2013 Comparative Price Report Variation in Medical and Hospital Prices by Country

International Federation of Health Plans

The International Federation of Health Plans was founded in 1968 by a small group of health plan industry leaders. It is now the leading global network in the industry, with more than one hundred member companies from twenty-five countries. Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries.

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2013 Survey Overview

In response to interest from member plans, this year’s survey includes pricing for several specialty prescription drugs, along with

prices for other prescription drugs and a variety of medical procedures. Prices for each country are submitted by participating

federation member plans, and are drawn from public or commercial sectors as follows:

• Prices for the United States are calculated from a database with over 100 million claims that reflect prices negotiated and

paid between thousands of providers and almost a hundred commercial health plans

• Prices for Australia, Argentina, and Spain are from the private sector, with data provided by one private health plan in each

country

• Prices for Canada and Netherlands are from the public sector, with data provided by one private health plan in each country

• Medical procedure prices for Switzerland, England and New Zealand are from the private sector; prescription drug prices

are based on public sector prices. Prices are provided by one private health plan in each country

Comparisons across different countries are complicated by differences in sectors, fee schedules, and systems. In addition, a single

plan’s prices may not be representative of prices paid by other plans in that market.

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Average Price USA 25th Percentile USA 95th Percentile $USD

$1,017$1,117

$1,386$1,509 $1,563

$1,646

$2,225

$4,006

$1,946

Switzerland England Spain Netherlands New Zealand Canada United States

2013 Drugs: Enbrel

Enbrel is prescribed to treat autoimmune diseases.

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$989 $1,141

$2,697$3,321 $3,348

$3,633

$6,214

$11,007

$5,482

New Zealand Canada England Netherlands Spain Switzerland United States

2013 Drugs: Gleevec

Gleevec is prescribed to treat some cancers, including some kinds of leukemia.

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$881$1,102

$1,481 $1,498 $1,498

$1,950

$2,246

$4,089

$1,913

Switzerland England New Zealand Spain Netherlands Canada United States

2013 Drugs: Humira

Humira is prescribed to treat rheumatoid arthritis.

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$862 $898

$1,190$1,191 $1,357

$3,903

$3,875

$4,018

England New Zealand Netherlands Spain Switzerland United States

2013 Drugs: Copaxone

Copaxone is prescribed to treat multiple sclerosis.

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$2,287 $2,299 $2,428 $2,499 $2,541

$5,473

$12,792

$4,169

Spain England Netherlands Switzerland Canada United States

2013 Drugs: Gilenya

Gilenya is prescribed to treat multiple sclerosis.

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$51

$112 $112$138

$164

$225

$139

$461

Canada Netherlands England Switzerland Spain United States

2013 Drugs: Celebrex

Celebrex is commonly prescribed for pain.

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$46 $52$71 $76

$110

$194

$161

$349

England Netherlands Spain Switzerland Canada United States

2013 Drugs: Cymbalta

Cymbalta is commonly prescribed for depression, anxiety, and fibromyalgia.

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$23$42

$58 $60

$215

$196

$395

Netherlands England Spain Switzerland United States

2013 Drugs: Nexium

Nexium is commonly prescribed for acid reflux.

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$174 $216$290

$741$818

$907

$196

$2,516

Netherlands Switzerland Spain Australia Argentina United States

2013 Diagnostics: Angiogram

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2013 Diagnostics: CT Scan Abdomen

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$94 $97 $128$279

$432$500

$731$896

$299

$2,724

Spain Canada Argentina Netherlands Switzerland Australia New Zealand United States


$138 $141 $154

$350$461

$1,005$1,145

$532

$2,929

Switzerland Argentina Spain Australia Netherlands New Zealand United States

2013 Diagnostics: MRI

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2013 Hospital Cost per Day

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$481 $702$1,308

$2,491

$4,293

$1,447

$12,726

Spain Argentina Australia New Zealand United States


2013 Total Hospital and Physician: Appendectomy

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$1,723 $2,281

$4,995 $5,177$6,645

$9,845

$13,910

$8,244

$29,499

Argentina Spain Netherlands Australia New Zealand Switzerland United States


2013 Total Hospital and Physician: Normal Delivery

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$2,237 $2,251$2,824

$6,623

$8,307

$10,002

$7,308

$17,354

Argentina Spain Netherlands Australia Switzerland United States


2013 Total Hospital and Physician: C-Section

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$2,844 $2,972

$5,492

$10,263 $10,681

$15,240

$10,641

$27,446

Spain Argentina Netherlands Australia Switzerland United States


2013 Total Hospital and Physician: Cataract Surgery

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$1,038

$1,610$2,016

$3,384$3,841 $3,762

$2,422

$8,233

Argentina Netherlands Spain New Zealand Australia United States


2013 Total Hospital and Physician: Knee Replacement

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$6,015$8,100

$12,589

$20,668 $21,435$24,614 $25,398

$16,298

$51,128

Argentina Spain Netherlands New Zealand Australia Switzerland United States


2013 Total Hospital and Physician: Hip Replacement

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$6,862 $8,010

$11,513

$19,011 $19,722

$26,297 $26,489

$16,622

$53,644

Argentina Spain Netherlands New Zealand Switzerland Australia United States


2013 Total Hospital and Physician: Bypass Surgery

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$15,742 $16,247 $16,492

$36,509$40,368 $42,130

$75,345

$47,982

$151,886

Netherlands Spain Argentina Switzerland New Zealand Australia United States


2013 Total Hospital and Physician: Angioplasty

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$5,246 $5,295$8,477

$10,101 $10,897

$16,415

$27,907

$16,406

$61,184

Argentina Netherlands Australia Spain Switzerland New Zealand United States


$3,177

$6,723

$9,982

$11,806

$6,788

$25,843

Spain New Zealand Australia United States

2013: Hip Prosthesis

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United States Prices were calculated from commercial claims data from the Truven (formerly Thomson Reuters) MarketScan Research databases. The MarketScan databases capture person-specific clinical utilization, expenditures, and enrollment from a selection of large employers, health plans, and government and public organizations. The databases include private sector data from approximately 100 health plans. Claims data was compiled and trended to 2012 pricing by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan. Any opinions or conclusions expressed herein regarding the data are not those of Deloitte Consulting LLP. Because a broad range of prices were available, the national 25th percentile (low), average, and 95th percentile were calculated to provide context on the extent of commercial price variation. Prices shown are allowed charges; these are the rates negotiated between plans and providers and are the amounts for which providers receive payment. Allowed charges include both patient cost sharing and health plan payment. Cataract surgery price represents the price for outpatient procedures. Angioplasty and appendectomy prices reflect a blend of inpatient and outpatient prices based on relative utilization in each setting.

Notes

List of Federation Plan Members Argentina Omint Sa De Servicios

Australia Australian Health Service Alliance Australian Health Insurance Association Limited Australian Unity Health Limited BUPA Australia Limited GMHBA Limited HBF Health Funds Inc Hospitals Contribution Fund of Australia, Limited Health-Partners Medibank Private Navy Health Limited NIB Health Funds Limited Police Health RT Health Fund Teachers’ Federation Health Limited Teachers’ Union Health

Belgium Medicover Nationaal Verbond van Socialistiche Mutualiteiten Union Nationale des Mutualities Libres (MLOZ)

Canada Alberta Blue Cross Plan Canassurance Hospital Service Association Group Medical Services Manitoba Blue Cross Medavie Blue Cross Pacific Blue Cross Saskatchewan Blue Cross

Chile Banmedica

China BUPA China Representative Office

Denmark Danmark Sygeforsikring Danica Pension Forretningsudvikling Forenede Gruppeliv A/S

Dominican Republic Ars Humano

France Malakoff Mederic

Germany AXA Krankenversicherung AG Munich Health

Greece Interamerican Life Insurance Company

Hong Kong AXA General Insurance Hong Kong Limited BUPA (Asia) Limited

India MAX BUPA Health Insurance Limited

Ireland VHI Healthcare Limited

Italy Unisalute

Mexico

AXA Seguros SA de CV

Netherlands Achmea Health

New Zealand Health Funds Association of New Zealand Southern Cross Healthcare Union Medical Benefits Society, Limited

Nigeria Total Health Trust Limited

Poland Signal Iduna Polska Tusa

Saudi Arabia BUPA Middle East

South Africa Board of Healthcare Funders of Southern Africa Bonitas Medical Fund Chartered Accountants (SA) Medical Aid Fund Discovery Health Medical Scheme La-Health Medical Scheme Medihelp Medscheme Holdings Metropolitan Health Group Polmed Transmed

Spain Compañia de Seguros Adeslas SA Sanitas SA

Switzerland Helsana Versicherungen AG Sanitas Krankenversicherung

Thailand BUPA Health Insurance (Thailand) Limited

United Kingdom Aria Assistance Group AXA PPP Healthcare BUPA InterGlobal Insurance Company Simplyhealth Group Western Provident Association Limited Westfield Contributory Health Scheme

USA Aetna Inc America's Health Insurance Plans Blue Cross & Blue Shield Association Emblem Foundation Health Plan Kaiser Foundation Health Plan Inc RW2 Enterprise The Trizetto Group Tufts Health Plan UnitedHealth Group

Zimbabwe Association of the Healthcare Funders of Zimbabwe Cimas Medical Aid Society The Medical Aid Society of Central Africa Premier Service Medical Aid Society

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